| NPI | 1821516360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904016105) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200003126) |
| 1041C0700X Social Worker, Clinical (Licence: CA 102152) | |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2024-03-15 |