| NPI | 1225620404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2012003365) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MO 054513) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2024-10-04 |