| NPI | 1720319361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020011413) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY 678) |
| 1041C0700X Social Worker, Clinical (Licence: OK 2977) | |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2022-08-25 |