| NPI | 1356966188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022028617) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2020014782) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2025-01-27 |