| NPI | 1326613456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06208) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 10180) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2024-04-24 |