| NPI | 1073009486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2023035341) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IA 092599) |
| 104100000X Social Worker (Licence: SD 4750) | |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2024-09-25 |