| NPI | 1629762273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2024018396) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2021044523) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2024-06-17 |