| NPI | 1154879120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2025050182) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4999) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2026-01-13 |