| NPI | 1922335660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078814) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2004033321) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-17 |