| NPI | 1982143087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17068) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078998) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |