| NPI | 1619416476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05395) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS LMSW 7669) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2023-01-03 |