| NPI | 1477257350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 5060) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2019018469) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-04-22 |