| NPI | 1861867079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20836) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50081487) |
| 104100000X Social Worker (Licence: MD 20836) | |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2019-06-13 |