| NPI | 1184118804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2017003775) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS 5062) |
| Enumeration Date | 2018-06-16 |
| Last Update Date | 2020-05-12 |