| NPI | 1912224437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904002450) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC302293) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2012-10-09 |