| NPI | 1194022483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4434) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 7445) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2018-05-07 |