| NPI | 1497228365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2023050133) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS 9875) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2024-01-03 |