| NPI | 1043633027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4741) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 9072) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2025-06-27 |