| NPI | 1992419691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200003121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 127953) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904014836) | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2024-05-06 |