| NPI | 1578187167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22836) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904012157) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200001249) | |
| Enumeration Date | 2020-05-30 |
| Last Update Date | 2024-09-24 |