| NPI | 1932402427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 09270) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC302874) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2013-05-28 |