| NPI | 1215011978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2003017428) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 2432) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-06-17 |