| NPI | 1013619469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 11611) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 06494) |
| 104100000X Social Worker | |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2025-12-08 |