| NPI | 1801467493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL 16762) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC 200002139) |
| 1041C0700X Social Worker Clinical (Licence: MD 29276) | |
| 1041C0700X Social Worker Clinical (Licence: VA 0904012943) | |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2024-08-06 |