| NPI | 1841766219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 10528) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2020013033) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2023-05-23 |