| NPI | 1336483494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 08207) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC00302365) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |