| NPI | 1558250209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2025021851) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C018954) |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-09-04 |