| NPI | 1548381759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078122) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006132) |
| 1041C0700X Social Worker, Clinical (Licence: MD 12858) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |