| NPI | 1063132850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200003523) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 25859) |
| 104100000X Social Worker (Licence: DC LG50083698) | |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2025-04-20 |