| NPI | 1720053689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 1999135384) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 10398) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2015-02-23 |