| NPI | 1669404901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2007036534) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 1900-C) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-01-24 |