| NPI | 1669593174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 11988) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904003691) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50077912) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2010-09-20 |