| NPI | 1134490568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC50080582) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50079780) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2020-12-30 |