| NPI | 1417448051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS SW05528) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 0001289) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW16768) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2022-01-12 |