| NPI | 1750098836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904013519) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079915) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |