| NPI | 1538671839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010169) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 13950) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50079777) | |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |