| NPI | 1134571672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2018012129) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 149.019841) |
| 104100000X Social Worker (Licence: GA MSW007354) | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2018-09-06 |