| NPI | 1972811727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019047802) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 12995-C) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2025-10-10 |