| NPI | 1568096881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4219) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2007024892) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2023-03-20 |