| NPI | 1326015017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2016015518) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 992277) |
| 1041C0700X Social Worker, Clinical (Licence: KS 2316) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2018-07-27 |