| NPI | 1659046803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010991) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081378) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-08-10 |