| NPI | 1952794208 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50080408) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904008829) | 
| Enumeration Date | 2015-03-11 | 
| Last Update Date | 2023-07-17 |