| NPI | 1154617587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17898) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078920) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2013-10-03 |