| NPI | 1376894865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05632) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MO 2023016257) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2023-09-05 |