| NPI | 1043629371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2012012518) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 3850) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |