| 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 |