| NPI | 1871626549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 07783) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904005706) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2013-01-03 |