| NPI | 1952951618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 06487) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 11525) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2024-07-16 |