| NPI | 1093848590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007679) |
| 1041C0700X Social Worker, Clinical (Licence: MD 22977) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50081101) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2018-09-28 |