| NPI | 1548567423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4512) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2008019097) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2019-07-09 |