| NPI | 1407077175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 05565) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC301937) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2012-01-06 |