| NPI | 1104232875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4638) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 8553) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2022-01-17 |