| NPI | 1083988133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12614) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50077993) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904009461) | |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2022-07-21 |