| NPI | 1740231745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 579) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC 00300372) |
| Enumeration Date | 2006-05-14 |
| Last Update Date | 2007-07-08 |