| NPI | 1497527097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 07164) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 119367) |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2026-03-23 |