| NPI | 1477343119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2026000494) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2023050053) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2023050053) | |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2026-01-16 |