| NPI | 1336263367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14328) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079144) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2014-01-24 |