| NPI | 1861801664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13478) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078063) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904006082) | |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |