| NPI | 1508053547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006719) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50077897) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2014-09-04 |