| NPI | 1497178453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2013014033) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 3242G) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2020-05-07 |