| NPI | 1679038111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 108783) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 16996) |
| 1041C0700X Social Worker, Clinical (Licence: MD 31820) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904015053) | |
| 1041C0700X Social Worker, Clinical (Licence: DC 200001840) | |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2024-07-10 |