| NPI | 1053876292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020008264) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2014041444) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2024-08-12 |