| NPI | 1730757386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021018719) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09927801) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2024-10-10 |