| NPI | 1912144734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10591) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303390) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |