| NPI | 1982176624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21931) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200001509) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904013588) | |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2023-04-24 |