| NPI | 1023831070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2024044117) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 11479123) |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-20 |