| NPI | 1124411319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21917) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904011826) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50080565) | |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2026-07-30 |