| NPI | 1932794427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021039917) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 05631) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2024-03-23 |