| NPI | 1356860225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017025525) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2017025525) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2023-12-07 |