| NPI | 1033872650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019043802) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 05408) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2021-10-20 |