| NPI | 1215162169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14429) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078588) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-05-21 |