| NPI | 1326437310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16103) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079988) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |