| NPI | 1790048361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16107) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200001844) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904014336) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2023-03-04 |