| NPI | 1982808879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 02961) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 090400658) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC300360) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2007-07-08 |