| NPI | 1659559243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2013003625) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 1634-C) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2017-03-31 |