| NPI | 1376228338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW1450) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO LCSW2011009062) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |