| NPI | 1629177191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC 303499) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 10642) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2013-04-17 |