| NPI | 1902962608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50077699) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018448) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2022-12-27 |