| NPI | 1982800546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW 3585) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO LCSW 2005010822) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2007-07-08 |