| NPI | 1639625510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50082523) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 8806217-3502) |
| 1041C0700X Social Worker, Clinical (Licence: MD 24251) | |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2020-07-03 |