| NPI | 1649560608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078914) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 06730) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2016-11-14 |