| NPI | 1225322514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2018045156) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4548) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2023-09-28 |