| NPI | 1659618353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18165) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079358) |
| 1041S0200X Social Worker, School (Licence: DC LC50079358) | |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2022-07-21 |