| NPI | 1023334190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2009037697) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 1886) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-08-30 |