| NPI | 1780884411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078996) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 9651) |
| 1041C0700X Social Worker, Clinical (Licence: NY 076779-1) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2015-05-27 |