| NPI | 1356889497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017027554) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2015008284) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2021-09-16 |