| NPI | 1699767558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015883) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC302148) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2025-07-21 |