| NPI | 1679280531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008344) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079637) |
| 1041C0700X Social Worker, Clinical (Licence: MD 18798) | |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2022-11-01 |