| NPI | 1659001170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW06619) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 12593) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2025-03-07 |