| NPI | 1710435441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50080593) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 090409410) |
| Enumeration Date | 2016-09-11 |
| Last Update Date | 2016-09-11 |