| NPI | 1710393582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4645) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 9195) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2023-01-21 |