| NPI | 1790991206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 11538) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50078361) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |