| NPI | 1265711063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05476) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 8120) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2023-02-02 |