| NPI | 1841542149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2012018580) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS 4166) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-11 |