| NPI | 1538349428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 3879) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 6037) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2010-10-20 |