| NPI | 1518009299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2006009828) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 3543) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2014-12-05 |