| NPI | 1942410550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS LMSW 2196) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO LCSW 003314) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |