| NPI | 1184254054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2016000953) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 5103) |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |