| NPI | 1467514158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2001025061) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 3705) |
| Enumeration Date | 2006-12-16 |
| Last Update Date | 2020-11-06 |