| NPI | 1417141011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 3943) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2010007738) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2026-04-01 |