| NPI | 1619480613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022012043) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34007972A) |
| 1041C0700X Social Worker, Clinical (Licence: NY 088003) | |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2022-07-21 |