| NPI | 1851051411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC50081890) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904011940) |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2022-09-13 |