| NPI | 1326322728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13605) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904011817) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50078409) | |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2021-11-23 |