| NPI | 1871601799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 05736) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC302645) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2019-10-11 |