| NPI | 1124642731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904012338) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50082655) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW17230) | |
| Enumeration Date | 2020-05-31 |
| Last Update Date | 2021-09-28 |