| NPI | 1720236763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 16759) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC50078900) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2015-04-07 |