| NPI | 1801148515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50081729) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 24074) |
| 1041C0700X Social Worker, Clinical (Licence: NY 087187) | |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2020-12-29 |