| NPI | 1588085658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2013044014) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 05682) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2023-03-15 |