| NPI | 1407136468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2004008560) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 4805) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |