| NPI | 1629516596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16405) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC lc50080631) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2019-12-10 |