| NPI | 1720361306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2010026262) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 5475) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2020-11-19 |