| NPI | 1134625213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: VA PPS-0604180) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006722) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC303534) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |