| NPI | 1770551376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C007161) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO SW005563) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2012-12-11 |