| NPI | 1396986899 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50077923) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 10621) | 
| Enumeration Date | 2009-03-12 | 
| Last Update Date | 2009-03-12 |