| NPI | 1275898645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078154) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 17797) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2016-05-14 |