| NPI | 1699498220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2023027976) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 12849) |
| 1041C0700X Social Worker, Clinical (Licence: KS 06156) | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2025-02-27 |