| NPI | 1215376991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2017020602) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2017020602) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2019-09-23 |