| NPI | 1205280112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50080899) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 56715) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904009420) | |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2019-02-27 |