| NPI | 1710507363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13197) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078268) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |