| NPI | 1043982960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14485) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC 50078414) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904009196) | |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-09-29 |