| NPI | 1013484948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 23981) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081843) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-11-02 |