| NPI | 1306171921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079350) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 53078) |
| 104100000X Social Worker (Licence: DC LG50079236) | |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2016-04-28 |