| NPI | 1306179395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2011022907) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 7975) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2022-02-09 |