| NPI | 1154649473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50082114) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080372) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904010967) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2019-04-29 |