| NPI | 1619287380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004012) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303209) |
| 1041C0700X Social Worker, Clinical (Licence: MD 10306) | |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2011-12-12 |