| NPI | 1548710676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020011395) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2020-09-28 |