| NPI | 1912371121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50080741) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 18957) |
| Enumeration Date | 2015-11-26 |
| Last Update Date | 2021-06-02 |