| NPI | 1710224977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 03545) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC301739) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-05-19 |