| NPI | 1568734796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14921) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078699) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904007154) | |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-04-08 |