| NPI | 1871024067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD LC19513) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078862) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |