| NPI | 1609457886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2021012608) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MS C9895) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2022-11-08 |