| NPI | 1609069426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078474) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 15981) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2012-06-25 |