| NPI | 1417559576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 9121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2019018274) |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |