| NPI | 1942684352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4895) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 9668) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2019-01-28 |