| NPI | 1730672676 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079860) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014716) | 
| 1041C0700X Social Worker, Clinical (Licence: MD 29730) | |
| Enumeration Date | 2018-06-13 | 
| Last Update Date | 2023-04-19 |