| NPI | 1609207448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 090411295) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50080694) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2021-05-12 |