| NPI | 1144686650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50080929) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 19242) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2020-12-14 |