| NPI | 1417168543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003242) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC302763) |
| 1041C0700X Social Worker, Clinical (Licence: MD 09063) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |