| NPI | 1386072189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2005022412) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS 4223) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |