| NPI | 1710056965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2015005428) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 1316) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2023-11-21 |