| NPI | 1407687429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 15862) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC200001795) |
| 1041C0700X Social Worker Clinical (Licence: VA 0904013961) | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |