| NPI | 1437591468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017014117) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 05606) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2024-04-05 |