| NPI | 1245508506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2014026536) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4439) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2019-09-30 |