| NPI | 1134395270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4356) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2114035025) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2025-05-19 |