| NPI | 1639587272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 2090) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2000174523) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |