| NPI | 1770970063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17236) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079818) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2020-12-16 |