| NPI | 1801618467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 32242) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LG200003135) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0903004323) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 124430) | |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |