| NPI | 1609944032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10169) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC302652) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904004040) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2012-02-09 |