| NPI | 1306048731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2004030000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 05944) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2023-03-15 |