| NPI | 1538052501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2026019685) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 06779) |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2026-05-27 |