| NPI | 1104530518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 29289) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LG200001634) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0903003629) | |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |