| NPI | 1174347066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06318) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2023045705) |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-14 |