| NPI | 1235606468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020041579) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2018022862) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2020-12-21 |