| NPI | 1013337419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 5024) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 087436) |
| 1041C0700X Social Worker, Clinical (Licence: MO 008457) | |
| 1041C0700X Social Worker, Clinical (Licence: KS 10748) | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2020-02-11 |