| NPI | 1063828382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020035033) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 9309) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2016002181) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2020-11-23 |