| NPI | 1568982593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009961) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200001246) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW94330) | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW022068) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-10-31 |