| NPI | 1689099541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19705) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LI50077733) |
| 104100000X Social Worker (Licence: OH I1302293) | |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2014-02-28 |