| NPI | 1215256532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16310) |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50078504) | |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2024-12-10 |