| NPI | 1346445673 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC302119) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904002546) | 
| 1041C0700X Social Worker, Clinical (Licence: MD 09903) | |
| Enumeration Date | 2007-06-18 | 
| Last Update Date | 2007-07-08 |