| NPI | 1598819559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50077887) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12732) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2019-07-24 |