| NPI | 1669715942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017001740) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2017001740) |
| 1041C0700X Social Worker, Clinical (Licence: KS 4598) | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2019-10-17 |