| NPI | 1497051734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26816) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007400) |
| 1041C0700X Social Worker, Clinical (Licence: CO 1788) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50082548) | |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2021-09-15 |