| NPI | 1164751640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078345) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 14894) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2014-06-26 |