| NPI | 1154815207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50081810) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 17707) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2024-01-02 |