| NPI | 1265773493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006856) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50077830) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2017-01-30 |