| NPI | 1467476317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2001027651) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MO 2001027651) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2017-03-15 |