| NPI | 1407080526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2010039512) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS 4261) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2021-06-29 |