| NPI | 1518533900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 4997) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2022-05-12 |