| NPI | 1346637980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079317) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 18455) |
| 1041C0700X Social Worker, Clinical (Licence: VA 09004008361) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |