| NPI | 1821254061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2003022197) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 2387) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2010-08-09 |