| NPI | 1942495742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06889) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 5105) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2025-09-16 |