| NPI | 1649201690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 2640) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO SW005330) |
| 1041C0700X Social Worker, Clinical (Licence: KS 1834) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |