| NPI | 1487898243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 07339) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303312) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-09-13 |