| NPI | 1265261929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC DC20001986) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014746) |
| 1041C0700X Social Worker, Clinical (Licence: CO .09930119) | |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |