| NPI | 1023382322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 05315) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC301973) |
| Enumeration Date | 2012-03-04 |
| Last Update Date | 2021-05-28 |