| NPI | 1679642268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079294) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 111395) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904009879) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 17608) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 111395) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2021-11-12 |