| NPI | 1902261738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2012023793) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4303) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |