| NPI | 1528491529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017001738) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 6731308-3501) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2024-07-03 |