| NPI | 1578221222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0906011427) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0135501TELE) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904015753) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200002873) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C017080) | |
| 1041C0700X Social Worker, Clinical (Licence: WV TH00946705) | |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2024-04-28 |