| NPI | 1376841445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 4897) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2018040366) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2024-07-31 |