| NPI | 1184122541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22436) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50080758) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW13036) | |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |