| NPI | 1255771960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 9924304) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS LMSW8875) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2021-06-14 |