| NPI | 1225489388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 5212) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS LMSW 10111) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2020-06-18 |