| NPI | 1699006817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05448) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2010001754) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2023-06-01 |