| NPI | 1215142252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC302072) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904002216) |
| 1041C0700X Social Worker, Clinical (Licence: MD 07629) | |
| 1041C0700X Social Worker, Clinical (Licence: UT 109152-3501) | |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2013-12-11 |