| NPI | 1902539398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2025033922) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MO 886784896) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2025-08-11 |