| NPI | 1821100850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2000172602) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS 3965) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-10-20 |