| NPI | 1164923348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50081731) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 11037) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2019-12-20 |