| NPI | 1255302147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078866) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 15819) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2014-08-11 |