| NPI | 1316662935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 06818) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 12672) |
| 104100000X Social Worker (Licence: MO 2022033785) | |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2025-06-27 |