| NPI | 1154866333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50081470) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904011451) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2021-10-13 |