| NPI | 1902528318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2024040146) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 21500) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2025-10-06 |