| NPI | 1205159431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20243) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC lc50078172) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2016-05-18 |