| NPI | 1407381619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50080669) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 7069) |
| 1041C0700X Social Worker, Clinical (Licence: MD 33565) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2025-11-05 |