| NPI | 1700289535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17701) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078363) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2019-01-25 |