| NPI | 1912061425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904005541) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303116) |
| 1041C0700X Social Worker, Clinical (Licence: MD 11145) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |