| NPI | 1710208186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 25487) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC 50079330) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2022-04-14 |