| NPI | 1609473602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904013201) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081926) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149021034) | |
| Enumeration Date | 2020-10-03 |
| Last Update Date | 2022-04-12 |