| NPI | 1457860819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2017032175) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2020-04-10 |