| NPI | 1306832506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW0838) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 001732) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2007-07-08 |