| NPI | 1104864248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2002021314) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 2440) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2022-07-21 |