| NPI | 1831528249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4617) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS LMSW 8999) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2019-11-13 |