| NPI | 1245072826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC200002279) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904015716) |
| 1041C0700X Social Worker Clinical (Licence: FL SW20642) | |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |