| NPI | 1356883813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 10106) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-09603) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |