| NPI | 1255310892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904000068) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC300065) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2008-04-28 |