| NPI | 1255908851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2024002261) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS 11038) |
| 104100000X Social Worker (Licence: KS 11038) | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2024-05-20 |