| NPI | 1407354871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21126) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081390) |
| 1041C0700X Social Worker, Clinical (Licence: CA 88005) | |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2021-11-24 |