| NPI | 1053367078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC301378) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 05523) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2010-07-06 |