| NPI | 1134525959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 18387) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC50081157) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2022-02-24 |