| NPI | 1528135167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50080667) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 17881) |
| 1041C0700X Social Worker, Clinical (Licence: NY 076996-1) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2016-10-22 |