| NPI | 1164849659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50081600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904011593) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2022-02-05 |