| NPI | 1801265442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50080681) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 18326) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2017-09-19 |