| NPI | 1992784888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078578) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 005775) |
| 1041C0700X Social Worker, Clinical (Licence: MD 11996) | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2012-10-14 |