| NPI | 1386809218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2020028052) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AR 7268-C) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2022-12-22 |