| NPI | 1245675396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2014030736) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2012011602) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2025-09-30 |