| NPI | 1396211850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 099140) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2014036219) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2019030408) | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2020-07-07 |