| NPI | 1568692283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC lc-5007816) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12960) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |