| NPI | 1255924114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22178) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200002430) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904016171) | |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2023-12-15 |