| NPI | 1225856693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2026037485) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2023037391) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2026-08-05 |