| NPI | 1104608819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 24201) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0903003534) |
| 1041C0700X Social Worker, Clinical (Licence: DC LG200001707) | |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |