| NPI | 1568838134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15833) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009100) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |