| NPI | 1790787471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 04206) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC301395) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2007-07-08 |