| NPI | 1104410737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50082269) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 17929) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-02-24 |