| NPI | 1851720593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC300762) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DC PRC884) |
| 1041C0700X Social Worker Clinical (Licence: MD 17262) | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |