| NPI | 1407012529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4043) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 7158) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2014-01-03 |