| NPI | 1225801400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2020021683) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS 11910) |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-10-31 |