| NPI | 1427392760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17943) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079244) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2021-12-02 |