| NPI | 1376608539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC302665) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 09056) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2021-06-02 |