| NPI | 1205322070 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC301434) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 03382) | 
| Enumeration Date | 2018-07-05 | 
| Last Update Date | 2018-07-05 |