| NPI | 1427405117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW 4406) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO LCSW 2015025795) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2020-06-10 |