| NPI | 1467831164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008858) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079288) |
| 1041C0700X Social Worker, Clinical (Licence: MD 14558) | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2024-10-09 |