| NPI | 1780983593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05430) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2010036738) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2021017002) | |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2021-10-11 |