| NPI | 1295985745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079550) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW003900) |
| Enumeration Date | 2008-09-21 |
| Last Update Date | 2014-05-15 |