| NPI | 1417181009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078039) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 061580) |
| 133V00000X Dietitian, Registered (Licence: DC DI100000264) | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |