| NPI | 1326586702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2018044619) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2014043830) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2022-01-18 |