| NPI | 1962183327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 07210) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09925759) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2026-05-06 |