| NPI | 1215012745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 28790) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LG200001571) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-09-01 |