| NPI | 1225540677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2016031874) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2024-09-21 |