| NPI | 1194099945 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC302187) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 09035) | 
| Enumeration Date | 2012-02-25 | 
| Last Update Date | 2024-02-15 |