| NPI | 1760242812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 30683) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LG200002564) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0903004107) | |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-03-19 |