| NPI | 1295174662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008348) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079813) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2022-07-21 |