| NPI | 1861031114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078139) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 36956) |
| Enumeration Date | 2020-01-04 |
| Last Update Date | 2020-01-04 |