| NPI | 1861638918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LG50077775) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000007490) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2008-12-19 |