| NPI | 1902090731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079310) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1931) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2011-11-05 |