| NPI | 1912939299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 09278) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904003955) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2010-12-14 |