| NPI | 1851718332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022034691) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 06140) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2026-08-28 |