| NPI | 1306292552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079681) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009525) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-06-29 |