| NPI | 1194292953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020038785) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2017041035) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2021-02-01 |