| NPI | 1902477417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06919) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 10656) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2025-08-26 |