| NPI | 1386133130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW05765) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2019005708) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2020038795) | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2024-03-21 |