| NPI | 1477598951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2005011605) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 3638) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2024-07-23 |