| NPI | 1275971277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14995) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079960) |
| 1041C0700X Social Worker, Clinical (Licence: MA 122757) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2021-05-04 |