| NPI | 1861253247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022047140) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW1890) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2025-10-27 |