| NPI | 1356754378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS LSCSW06767) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-08725) |
| 1041C0700X Social Worker Clinical (Licence: MO 2017044323) | |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2025-06-30 |