| NPI | 1083865729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021030658) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 5898) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2021-08-03 |