| NPI | 1043467939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS T-LMSW 7828) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2010-09-10 |