| NPI | 1689834921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2002004930) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 2216) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |