| NPI | 1992571095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2022023556) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 06780) |
| 104100000X Social Worker (Licence: KS 12521) | |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2025-11-03 |