| NPI | 1528436300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017043733) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2023-04-18 |