| NPI | 1144619917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009473) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50080836) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2016-08-04 |