| NPI | 1366704157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2015018795) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2012014722) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2025-05-15 |