| NPI | 1578631412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12772) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50077914) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2012-05-23 |