| NPI | 1346626157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13075) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078182) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |