| NPI | 1356630842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078928) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12841) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |