| NPI | 1538615562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05694) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010357) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2022-07-29 |