| NPI | 1962678433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 5758) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2008005816) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |