| NPI | 1508279258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 15461) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC50078684) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2016-05-17 |