| NPI | 1790241339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17526) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009476) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50080738) | |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2024-05-20 |