| NPI | 1871925453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50080427) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 085298) |
| 1041C0700X Social Worker, Clinical (Licence: MD 17725) | |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2018-08-23 |