| NPI | 1982617346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12870) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006155) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2014-08-13 |