| NPI | 1740907617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06676) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2021045783) |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2025-06-16 |