| NPI | 1124631882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022038812) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2020022699) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2020022699) | |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2022-09-30 |