| NPI | 1669144606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06375) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2023044019) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2025-11-19 |