| NPI | 1053501551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008006) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12203) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50077758) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2015-04-30 |