| NPI | 1578960076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06845) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2014015210) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2025-08-26 |