| NPI | 1467203315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05697) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2022001869) |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |