| NPI | 1740394998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 1536) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 005547) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2017-06-28 |