| NPI | 1316242571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10682) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303391) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |