| NPI | 1609160597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2010008567) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2010008567) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2024-10-09 |