| NPI | 1700585486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 06010) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS LSCSW) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2024-04-10 |