| NPI | 1851714778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22159) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50081290) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C009912) | |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2022-04-11 |