| NPI | 1902458243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06416) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2024020799) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2026-02-24 |