| NPI | 1205111895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50077901) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 12012) |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2023-06-14 |