| NPI | 1003688425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06324) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2021041507) |
| 104100000X Social Worker (Licence: KS 12331) | |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2024-02-27 |