| NPI | 1366971897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 10068) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2015030814) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |