| NPI | 1629412622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 08335) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC302660) |
| 1041C0700X Social Worker, Clinical (Licence: CA 15342) | |
| Enumeration Date | 2013-04-20 |
| Last Update Date | 2013-04-20 |