| NPI | 1760780324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50077924) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904005953) |
| 1041C0700X Social Worker, Clinical (Licence: MD 16013) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 116265) | |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-06-28 |