| NPI | 1518575463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904013138) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 19120) |
| 1041C0700X Social Worker Clinical (Licence: DC LC200001347) | |
| 104100000X Social Worker (Licence: MD 19120) | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2022-09-22 |