| NPI | 1912554429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 16757) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 082664) |
| 1041C0700X Social Worker Clinical (Licence: VA 0904015731) | |
| 1041C0700X Social Worker Clinical (Licence: DC LC200002711) | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2024-05-15 |