| NPI | 1952708125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50081173) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 19713) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904011566) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 108720) | |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2025-06-03 |