| NPI | 1497284277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05535) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 10386) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2026-05-12 |