| NPI | 1992245161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19320) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50080775) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |