| NPI | 1154537629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14993) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078730) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-07-09 |