| NPI | 1083506802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06890) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2002003251) |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-08-05 |