| NPI | 1023414570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 5241) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 9360) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2020-08-13 |