| NPI | 1659175750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2018012922) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 05471) |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |