| NPI | 1265683395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 13659) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC50078059) |
| 1041C0700X Social Worker Clinical (Licence: IN 34008357A) | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2020-06-16 |