| NPI | 1588129399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 1588129399) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2016028312) |
| 104100000X Social Worker (Licence: KS 10059) | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2020-01-16 |