| NPI | 1114493210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 05347) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 05347) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW007279) | |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2023-07-12 |