| NPI | 1487135562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19372) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200002961) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904015907) | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2024-12-19 |