| NPI | 1124334040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078808) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015549) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2023-11-13 |