| NPI | 1073890786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 1309) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2009025845) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2016-09-19 |