| NPI | 1154867869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019005788) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2017001311) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2019-02-19 |