| NPI | 1811252497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC50080233) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50080022) |
| 1041C0700X Social Worker Clinical (Licence: VA 0904011039) | |
| 1041C0700X Social Worker Clinical (Licence: MD 18008) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2021-04-23 |