| NPI | 1225701220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2023137655) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: MO 2023037655) | |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2023-09-15 |