| NPI | 1770576175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078515) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 6651) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2023-01-21 |