| NPI | 1912157983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13728) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078500) |
| 1041C0700X Social Worker, Clinical (Licence: NC C008555) | |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2014-11-20 |