| NPI | 1245063981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27471) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LG200002703) |
| 104100000X Social Worker (Licence: MD 27471) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200003459) | |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2025-05-05 |