| NPI | 1043067010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2023042126) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2023042126) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-14 |