| NPI | 1891133591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10104) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303576) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2020-07-31 |