| NPI | 1487319208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: DE Q3-0000338) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC20002422) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904014977) | |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2024-01-20 |