| NPI | 1760021034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2023036029) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2019004027) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2024-01-30 |