| NPI | 1740426204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006876) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 10110) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC 303620) | |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2009-01-05 |