| NPI | 1801856570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4289) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 6057) |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2014-09-02 |