| NPI | 1295075729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS LSCSW05495) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0904008134) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2022-08-08 |