| NPI | 1558626622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 8491) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS LMSW 8491) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2016-03-22 |