| NPI | 1245427954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2016030321) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 5658-C) |
| 1041C0700X Social Worker, Clinical (Licence: KS 4592) | |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2019-02-11 |