| NPI | 1902362015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12515) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50077802) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904012303) | |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2021-08-25 |