| NPI | 1548666225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19840) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904008721) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2016-04-27 |