| NPI | 1538733993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2023037022) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: MO 2021022011) | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2023-09-22 |