| NPI | 1841941697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: DC LC20002140) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0904014961) |
| 1041C0700X Social Worker, Clinical (Licence: MD 24897) | |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2024-11-18 |