| 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 |