| NPI | 1003109265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019010079) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015092) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2023-08-21 |