| NPI | 1104208735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16876) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50080443) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |