| NPI | 1912784174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS LMSW13199) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2024041868) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2024041868) | |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2025-03-27 |