| NPI | 1093329229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2022041550) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2020014066) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2022-10-25 |