| NPI | 1518488485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ 19947) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS 05315) |
| 104100000X Social Worker (Licence: KS 10472) | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-07-20 |