| NPI | 1730255092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 1473) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 002940) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2023-04-06 |