| NPI | 1992888614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06176) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 6364) |
| 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012130) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2024-07-24 |