| NPI | 1407932783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078497) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006077) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2011-03-08 |