| NPI | 1073773974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078817) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 8996) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2019-08-27 |