| NPI | 1427171990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007915) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 114703) |
| 1041C0700X Social Worker, Clinical (Licence: MD 18160) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50079774) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2016-07-20 |