| NPI | 1982975314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079277) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD G12274) |
| 104100000X Social Worker (Licence: DC LG50078079) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 23340) | |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2020-12-21 |