| NPI | 1760135339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2022021362) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2022021362) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2024-05-15 |