| NPI | 1568902765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904005615) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50080222) |
| 1041C0700X Social Worker, Clinical (Licence: MD 29164) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 013959) | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2024-06-03 |