| NPI | 1710245006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4138) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 20-3244643) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2022-02-02 |