| NPI | 1750583167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC50080512) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 15770) |
| 1041C0700X Social Worker Clinical (Licence: VA 0904010968) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-12-04 |