| NPI | 1720420367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079857) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 14459) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |