| NPI | 1962876672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50080560) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 32544) |
| 1041C0700X Social Worker, Clinical (Licence: CA 128174) | |
| 1041C0700X Social Worker, Clinical (Licence: OR L15978) | |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2025-02-20 |