| NPI | 1639383763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 332) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 559) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC00300656) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |