| NPI | 1760861785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22754) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081349) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW018164) | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2018-03-17 |