| NPI | 1548512437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079498) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 17772) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2018-03-17 |