| NPI | 1447849583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06134) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2023041665) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2023-10-31 |