| NPI | 1730391210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC302851) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904004563) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |