| NPI | 1972791127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4312) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 5590) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2014-07-21 |