| NPI | 1215084751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078526) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007205) |
| 1041C0700X Social Worker, Clinical (Licence: WV DP00945186) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 15480) | |
| 1041C0700X Social Worker, Clinical (Licence: OR L004283) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2021-09-22 |