| NPI | 1295163251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: DC LC50080411) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD G09436) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50080411) | |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2015-06-25 |