| NPI | 1982904116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 13542) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC50077957) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |