| NPI | 1386305597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2024018598) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 9671939) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2025-01-21 |