| NPI | 1427134303 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006353) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078260) | 
| 1041C0700X Social Worker, Clinical (Licence: NY R050162-1) | |
| Enumeration Date | 2006-10-31 | 
| Last Update Date | 2007-07-08 |