| NPI | 1700293503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06498) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2025038653) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2025-09-19 |