| NPI | 1790062842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 8279) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: KS 8279) | |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2020-03-26 |