| NPI | 1588013742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2018036221) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2016018134) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2019-01-31 |