| NPI | 1306567417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 28707) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200004176) |
| 104100000X Social Worker (Licence: VA 0904018515) | |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2025-09-23 |