| NPI | 1518906627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12710) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078011) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2016-07-21 |