| NPI | 1265058259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020037208) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 26999) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2021-01-13 |