| NPI | 1063504173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078469) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904005750) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2015-01-08 |