| NPI | 1477701381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078368) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006624) |
| 1041C0700X Social Worker, Clinical (Licence: MD 13566) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2012-02-13 |