| NPI | 1659721603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2022026932) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2025-05-12 |