| NPI | 1669509832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2000164407) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW 3852) |
| 174400000X Specialist (Licence: MO 5526) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2024-11-15 |