| NPI | 1780331306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 05931) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 11741) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2024-06-20 |