| NPI | 1083933667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2015036615) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2009024338) |
| Enumeration Date | 2010-05-22 |
| Last Update Date | 2021-07-06 |