| NPI | 1346496635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC50078049) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 12906) |
| 1041C0700X Social Worker Clinical (Licence: VA 0904005676) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2013-01-26 |