| NPI | 1619759834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2024040390) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 06655) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2025-07-30 |