| NPI | 1255768271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009117) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079515) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2023-02-24 |