| NPI | 1891363099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200002602) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 095315) |
| 104100000X Social Worker (Licence: DC LG50083757) | |
| 104100000X Social Worker (Licence: NY 103962) | |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2023-05-18 |