| NPI | 1528460557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 5484) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 3616) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |