| NPI | 1952405532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC303476) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 14602) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2014-04-18 |