| NPI | 1548611403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 12699) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50077940) |
| 1041C0700X Social Worker, Clinical (Licence: MD 12386) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |