| NPI | 1275984874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05815) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2022047971) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2025-06-27 |