| NPI | 1073849543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078776) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 15470) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2015-12-30 |