| NPI | 1518354695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10717) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303435) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2203998) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904012501) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2023-02-09 |