| NPI | 1619532587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 05531) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2021012979) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2022-07-01 |