| NPI | 1376823393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2014018300) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 8336) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2015-03-22 |