| NPI | 1447521505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: DC 50077692) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 007830) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904007610) | |
| 1041C0700X Social Worker, Clinical (Licence: LA 8316) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 12022) | |
| 1041C0700X Social Worker, Clinical (Licence: DC 50077692) | |
| Enumeration Date | 2012-01-21 |
| Last Update Date | 2022-05-25 |