| NPI | 1265886410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18120) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50077768) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |