| NPI | 1861087645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 07187) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 10340) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2026-07-01 |