| NPI | 1194317347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020007646) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW05519) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2023-09-13 |