| NPI | 1093907933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12879) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC lc50078222) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2014-02-25 |