| NPI | 1528320744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2015012177) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2012018408) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2023-07-14 |