| NPI | 1326772021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2024049370) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 126120) |
| 104100000X Social Worker (Licence: MO 2022025824) | |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2024-12-20 |