| NPI | 1326403783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2016044611) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 9280) |
| 104100000X Social Worker (Licence: MO 2014024589) | |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2024-01-31 |