| NPI | 1639287915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2011012442) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 2525) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2013-03-25 |