| NPI | 1275721599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC0031548) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 05410) |
| 1041C0700X Social Worker Clinical (Licence: VA 0094001309) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |