| NPI | 1063623288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17049) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50077794) |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2013-11-01 |