| NPI | 1699258582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10788) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303429) |
| 1041C0700X Social Worker, Clinical (Licence: MO 000210) | |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |