| NPI | 1245619501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50082156) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014599) |
| 1041C0700X Social Worker, Clinical (Licence: MD 22665) | |
| 104100000X Social Worker (Licence: NY 094186-1) | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2026-05-11 |