| NPI | 1073665469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS LMSW4777) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS LMSW4777) |
| 1041S0200X Social Worker, School (Licence: KS LMSW4777) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |