| NPI | 1629208947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15135) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LG50078784) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |