| NPI | 1295205516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2021027516) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2016030927) |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2023-08-28 |