| NPI | 1699254722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020039764) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2016027494) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2020-12-01 |