| NPI | 1649589839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05293) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2010034364) |
| 1041C0700X Social Worker, Clinical (Licence: KS 10589) | |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2022-07-21 |