| NPI | 1265720577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 005807) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 1164) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-07-20 |