| NPI | 1255616264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 5827) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 8089) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149016026) | |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2022-08-25 |