| NPI | 1063885218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LG50081269) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 21158) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |