| NPI | 1639578354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50081766) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 21019) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2022-01-11 |