| NPI | 1376205070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 25952) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50083508) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904015496) | |
| Enumeration Date | 2021-10-10 |
| Last Update Date | 2023-07-06 |