| NPI | 1285988378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW4983) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2012013337) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2020-09-14 |