| NPI | 1386079929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079905) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 15643) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904008551) | |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2024-10-10 |