| NPI | 1992147524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078134) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007703) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |