| NPI | 1538512157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 08318) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303151) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |