| NPI | 1700034303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2008012237) |
| Additional Taxonomies | 171W00000X Contractor (Licence: MO 2008012237) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2021-12-29 |