| NPI | 1730860933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2025033951) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2023028002) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2025-08-11 |