| NPI | 1356018717 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LG50082995)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC LG50082995)  | 
| Enumeration Date | 2021-08-24 | 
| Last Update Date | 2023-12-11 |