| NPI | 1972360816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC200003177) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904014941) |
| 1041C0700X Social Worker Clinical (Licence: MD 23687) | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |