| NPI | 1609221803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4916) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 11164) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2019-03-13 |