| NPI | 1710552203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022029180) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2020013516) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2024-01-23 |