| NPI | 1306286604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC302757) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009602) |
| 1041C0700X Social Worker, Clinical (Licence: MD 11615) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2019-10-09 |