| NPI | 1770574477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 004654) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 2164) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2024-07-08 |