| NPI | 1033456199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904005713) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303420) |
| 1041C0700X Social Worker, Clinical (Licence: NM I-07900) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 09848) | |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2019-10-30 |