| NPI | 1811364920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15834) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079306) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2019-01-31 |