| NPI | 1760644371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14180) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078507) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |