| NPI | 1912451931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 10154) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2020037962) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2025-06-03 |