| NPI | 1982556072 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS LMSW14517) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2025048300) |
| Enumeration Date | 2026-02-11 |
| Last Update Date | 2026-02-11 |