| NPI | 1669783700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 18729) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC50078583) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2016-11-21 |