| NPI | 1700106507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2001028379) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 3782) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |