| NPI | 1912170101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 13494) |
| Additional Taxonomies | 103TS0200X Psychologist School |
| 1041C0700X Social Worker Clinical (Licence: DC LC50078311) | |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |