| NPI | 1699135095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2011041353) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4689) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2022-07-21 |