| NPI | 1578696456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 3892) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 4472) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-05-17 |