| NPI | 1356813703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010103) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079714) |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2018-12-26 |