| NPI | 1760803589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4743) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 6082) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2018-11-10 |