| NPI | 1790095263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4343) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2015010551) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2016-08-27 |