| NPI | 1366855397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14390) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LC50080180) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2018-08-21 |