| NPI | 1629531827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 4979) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2019007777) |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2023-12-19 |