| NPI | 1588148811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC3000807) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 105772-SW-LICSW) |
| 1041C0700X Social Worker, Clinical (Licence: MD 10783) | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW5051) | |
| Enumeration Date | 2018-09-22 |
| Last Update Date | 2018-09-22 |