| NPI | 1184008666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 5082) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2017038751) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2023-12-18 |