| NPI | 1558963579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50082620) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 108043) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904012560) | |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2023-10-15 |