| NPI | 1912191578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15836) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 6036) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2023-03-13 |