| NPI | 1255694055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4820) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 8412) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2020-02-26 |