| NPI | 1245863125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05314) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2020001914) |
| 104100000X Social Worker (Licence: KS 7516) | |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2025-01-21 |