| NPI | 1689823700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006899) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LG50078551) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |