| NPI | 1104085042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW 4420) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 7078) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2015-04-14 |