| NPI | 1093854747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 4124) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 5706) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2012-01-04 |