| NPI | 1013331016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079991) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 20620) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2017-09-13 |