| NPI | 1790158814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50080587) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: MD 18217) | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2025-08-28 |