| NPI | 1174802052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4410) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1146) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2013044013) | |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2021-04-07 |