| NPI | 1134703176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05585) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2021008547) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2026-04-29 |