| NPI | 1407862972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS MSW583) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO LCSW861) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |