| NPI | 1396424404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50080010) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 31750) |
| 1041C0700X Social Worker, Clinical (Licence: MN 33731) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904019007) | |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2025-11-03 |