| NPI | 1457714628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2023044583) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: LA 11372) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-04-22 |