| NPI | 1821641713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 05626) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 11048) |
| 1041C0700X Social Worker Clinical (Licence: MO 2022000560) | |
| 1041C0700X Social Worker Clinical (Licence: MO 2019044256) | |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2024-07-16 |