| NPI | 1164995106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05965) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 1485) |
| 104100000X Social Worker (Licence: KS 9539) | |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2023-01-20 |