| NPI | 1578208575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2022010288) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 10498901) |
| 1041C0700X Social Worker Clinical (Licence: IL 149027531) | |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2025-02-19 |