| NPI | 1568842540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4882) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS LMSW9549) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2025-07-25 |