| NPI | 1316133184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2011017669) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2014013485) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2019-01-31 |