| NPI | 1114424462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021017089) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2017037189) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2021-05-26 |