| NPI | 1720272305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16370) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079555) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2013-04-24 |