| NPI | 1699512269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26679) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200003505) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904017520) | |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2025-12-10 |