| NPI | 1679852388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079807) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 17100) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2019-12-12 |