| NPI | 1770616955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021043432) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 06114) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2025-11-05 |