| NPI | 1285005637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19408) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50080249) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |