| NPI | 1194207167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2018020032) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2020037926) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2022-08-19 |