| NPI | 1457809568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50081280) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50080823) |
| Enumeration Date | 2016-09-18 |
| Last Update Date | 2017-07-10 |