| NPI | 1386003010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21042) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LG50080880) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |