| NPI | 1972905511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05750LSCSW) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS LMSW 9316) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2024-11-15 |