| NPI | 1487830667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4042) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 6763) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2016-09-27 |