| NPI | 1942920756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022030196) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 12498-C) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2023-05-09 |