| 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 |