| NPI | 1013263359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 17512) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC50079450) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2019-01-31 |