| NPI | 1730517277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: DC LC50078470) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007521) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2020-07-01 |