| NPI | 1881225464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 06322) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 10404) |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2024-10-22 |