| NPI | 1225594682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021044349) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MO 2011009368) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2021-11-02 |