| NPI | 1184204638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21462) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016425) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200003896) | |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2025-04-25 |