| NPI | 1306966296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003888) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.012283) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC303410) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 10479) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2013-09-24 |