| NPI | 1801512983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2024050205) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 07136) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2026-05-06 |