| NPI | 1972963395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50082534) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 221397) |
| 1041C0700X Social Worker, Clinical (Licence: VT 089.0134212) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 121413) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 26888) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904012785) | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2022-11-07 |