| NPI | 1588921522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2012011598) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2020-01-28 |