| NPI | 1255530861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 3901) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2009030454) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2012-09-13 |