| NPI | 1336183144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 3996) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 5884) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2018-11-20 |