| NPI | 1780901736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14586) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078672) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-04-30 |