| NPI | 1437419074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LG50078650) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD G12808) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |