| NPI | 1821440488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009275) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50080855) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |