| NPI | 1518482793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 5262) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 10508) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2021-12-30 |