| NPI | 1124741384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021031853) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 05582) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-09-22 |