| NPI | 1053607804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16476) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007522) |
| 1041C0700X Social Worker, Clinical (Licence: DC C50077879) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |