| NPI | 1881920916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12178) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078136) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2013-05-08 |