| NPI | 1467611343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12949) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079165) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2021-04-22 |