| NPI | 1972870376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003772) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC302328) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2014-08-11 |