| NPI | 1255610002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16950) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 72 081920) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0903003714) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LG200002347) | |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2023-04-01 |