| NPI | 1801593439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 18216) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW023750) |
| 1041C0700X Social Worker Clinical (Licence: NY 097819) | |
| 1041C0700X Social Worker Clinical (Licence: DC LC200003197) | |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2024-06-14 |