| NPI | 1861857849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC50079719) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 16055) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2023-08-15 |