| NPI | 1740638477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LG50081065) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 19767) |
| 104100000X Social Worker (Licence: DC LG50081065) | |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-09-23 |