| NPI | 1629499413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 16313) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 16313) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50081199) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904011115) | |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2021-10-05 |