| NPI | 1588064588 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50080154) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 16348) | 
| Enumeration Date | 2014-08-27 | 
| Last Update Date | 2025-02-21 |