| NPI | 1871838946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15706) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904010316) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50080356) | |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2019-05-22 |