| NPI | 1992282180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 05467) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 10993) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2021-07-08 |