| NPI | 1023070844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 2956) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 3693) |
| 1041C0700X Social Worker, Clinical (Licence: SC 8632) | |
| 1041C0700X Social Worker, Clinical (Licence: MN 15437) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2013-08-01 |