| NPI | 1588407837 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LG50080301) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 18575) | 
| Enumeration Date | 2024-06-14 | 
| Last Update Date | 2024-06-14 |