| NPI | 1548319825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19625) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006363) |
| 1041S0200X Social Worker, School (Licence: DC LC50078369) | |
| 104100000X Social Worker (Licence: DC LC50078369) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50078369) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2025-08-29 |