| NPI | 1396428926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022032057) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 05839) |
| 1041S0200X Social Worker, School (Licence: MO 2022032057) | |
| 1041S0200X Social Worker, School (Licence: KS 05839) | |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-08-10 |