| NPI | 1013280528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50080514) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 28201) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2022-03-18 |