| NPI | 1174992341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078654) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 15650) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |