| NPI | 1437670072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18509) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079912) |
| 1041C0700X Social Worker, Clinical (Licence: WV DP00944897) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904010403) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2018-03-17 |