| NPI | 1558191080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2025023137) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW06758) |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2025-06-17 |