| NPI | 1184926206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2010035430) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4889) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2014-12-08 |