| NPI | 1861948325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC302509) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 11105) |
| 1041C0700X Social Worker, Clinical (Licence: LA 11412) | |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |