| NPI | 1336757053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021034810) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2013031634) |
| 104100000X Social Worker (Licence: KS 8796) | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2021-09-07 |