| NPI | 1194022202 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078563) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD MD08344) | 
| Enumeration Date | 2011-02-25 | 
| Last Update Date | 2011-02-25 |