| NPI | 1003139536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC301829) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 01578) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-09-23 |