| NPI | 1043293012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904005510) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 10740) |
| 1041C0700X Social Worker Clinical (Licence: DC LC50081376) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2017-10-07 |