| NPI | 1104182187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 4857) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 8177) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2019-01-04 |