| NPI | 1154061422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05703) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2021009241) |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2023-05-23 |