| NPI | 1558560896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 3955) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ 15189) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2015-05-27 |