| NPI | 1124250923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13103) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078013) |
| 106H00000X Marriage & Family Therapist (Licence: DC LMFT000085) | |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2012-06-07 |