| NPI | 1689804742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4565) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 7450) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2016-07-26 |