| NPI | 1972269439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021032925) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 07065) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2026-09-10 |