| NPI | 1013439793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2025032792) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 086942) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2025-08-27 |