| NPI | 1649351313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC3000812) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 11035) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2022-01-08 |