| NPI | 1336512433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2015030706) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2021-08-25 |