| NPI | 1548649346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017008130) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2015003417) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2023-12-08 |