| NPI | 1083310163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200003113) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 29586) |
| 104100000X Social Worker (Licence: DC LG50083841) | |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2024-10-28 |