| NPI | 1992199772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079296) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 14470) |
| 1041S0200X Social Worker, School (Licence: DC LC50079296) | |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2025-02-06 |